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Organization
MUNGOH BC (MBC) LLC
Active
Organization
MUNGOH BC (MBC) LLC
Active
Other names
MUNGOH BC (MBC) LLC DHA
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AKWAR (ADMINSTRATOR)
(480) 234-1509
Entity
Organization
Contact information
Practice address
24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
(520) 234-1600
Mailing address
24610 N SHELTON WAY, FLORENCE, AZ 85132-8018
(520) 324-1600
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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